Piezo-Assisted Transmaxillary Approach for Microscope-Enabled Debulking of Infratemporal Schwannoma

Adarsh Kudva, R. Girish Menon, S. Arun, Nimrat Kaur Jawanda

Research output: Contribution to journalArticlepeer-review


The rationale: Retromaxillary lesions pose diagnostic and treatment delays due to their location. With classical methods posing great morbidity, advances like Peizotome and microscope-assisted surgeries have gained relevance for efficient management with lesser complications and faster postoperative recovery. Case: A 65-year-old male patient presents with complaints of pain and blurring of the right eye for 10 days. Diagnosis: Clinical and radiological evaluation revealed right eye proptosis with a slow-growing retromaxillary infratemporal tumor with a likely diagnosis of trigeminal schwannoma. Treatment: Surgical management was aided by a piezo-assisted transantral approach for microscope-enabled debulking of the tumor. Outcomes: The final histopathological diagnosis was of schwannoma with the patient having a good postsurgical recovery. Takeaway lesson: Peizotome-assisted transmaxillary approach for microscopic excision of retromaxillary lesions can be considered as a surgical marvel which combines two varied modes of treatment for better patient outcomes.

Original languageEnglish
JournalJournal of Maxillofacial and Oral Surgery
Publication statusAccepted/In press - 2023

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology


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